| NPI | 1497982565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F304960) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 542904) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2024-03-27 |